Individual provider Active NPI

Lillian Louise Waddle, COTA/L

  • Occupational Therapy Assistant
  • Franklin Furnace, OH
National Provider Identifier
1801027875
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 02216 Issued in OH
Practice address
381 Camp St
Franklin Furnace, OH 45629-8800
Phone
(740) 250-9197
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 02216 OH Primary

Addresses

Primary practice location

381 Camp St
Franklin Furnace, OH 45629-8800

Mailing address

381 Camp St
Franklin Furnace, OH 45629-8800
Phone (740) 250-9197

Other practice location 1

2274 McDermott Pond Creek Road
McDremott, OH 45652
Phone (740) 259-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA 02216OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Plus Inc. Occupational Therapy Assistant CurrentSince Jan 19, 2020 Accepting new patients
Rapid Response Transportation Services CurrentSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1801027875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CAMP ST",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298800",
            "telephone_number": "740-250-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CAMP ST",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298800",
            "telephone_number": "740-250-9197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2274 McDermott Pond Creek Road",
            "address_purpose": "LOCATION",
            "city": "McDremott",
            "state": "OH",
            "postal_code": "45652",
            "country_code": "US",
            "telephone_number": "740-259-4073",
            "fax_number": "740-259-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDLE",
        "first_name": "LILLIAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA 02216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Furnace, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.